Florida Not There Yet, Pt.2 – How can Florida measure up?
Previous…
Kirsten, applying good wisdom, instructs us that the wrong
advice would be to look at those close around us for ideas. The
only right way to go is to study the systems of the most
successful states. Take the best ideas and build a good,
successful health insurance/care plan. Then put this health
insurance/care in place ASAP. Who are the most successful
states? The Commonwealth Fund gives us a nice list: “Iowa,
Vermont, Maine, Massachusetts and New Hampshire.” Alluding to a
recent Commonwealth Fund report, Kirsten explains the
significance of this benefit. If every state in the country
would perform as well as these five states, millions of our
nation’s children who don’t have it now, could have “adequate
health care; and could avoid treatment delays.” So what’s
Florida gonna do about this health insurance crises?
Consider the examples of Vermont and Iowa. Both of
their health care systems for children:
- Are accessible
- Are equitable
- Provide high quality care
- Control costs of treatment
- Control costs of insurance
One of the most important criteria measured by the
well-respected Commonwealth Fund in their recent comprehensive
health insurance/care report called “U.S. Variations on Child
Health System Performance: A State Scorecard” was a term, not
well-known in Florida. It’s called a “Medical Home”. Kirsten
defines this term very well with ‘having at least one
preventive medical care visit in the past year,’ ready
accessibility to specialist services and treatments, ‘having a
personal doctor, or nurse who spends enough time and
communicates clearly, provides telephone advice and urgent care
when needed, and follows up after specialist care.’ Florida
scored only 20% here. New Hampshire scored best with 61%. All
the New England states averaged together fared well also, with
51%. How important is this? Commonwealth Fund has inferred in
their report that, if all states performed as well as the best
few states, that ‘10.9 million more children would have a
"medical home’. Summary…While California studies the health
insurance/care system of Florida, Florida should study New
England; and California may want to head straight there, too.
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